Square Footage of House (footprint of building):

Number of Occupants:

Location of Property (nearest town):

Roof Type & Roof Pitch (if known):

Type, Model, and Size of Washing Machine (if known):

Toilet: Gallons per Flush (if known):

Approx. Area of Garden You Wish to Irrigate in Sq.Feet:

Type of Grass (if applicable):

Approx. Area of Grass in Sq. feet:

How is Your Water Currently Supplied? municipal water   well  

Are there any Site Restrictions or Specific Requirements: 

Name:

Street:

City:   State:   Zip:

Phone:

Email: